West Florida Physician Network, LLC
West Florida Physician Network, LLC was paid $411K by Medicaid between Jan 2018 and Nov 2024, across 22 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 70% of everything it billed.
BRADENTON, FL 34209
Next to other Family Medicine Physician providers in Florida
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Paid by month
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 322 | $208.83 | |
| 2019 | 2,515 | $62K | |
| 2020 | 2,561 | $71K | |
| 2021 | 3,026 | $82K | |
| 2022 | 3,260 | $69K | |
| 2023 | 3,499 | $89K | |
| 2024incomplete | 1,900 | $38K |
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 70% | 11,149 | 9,049 | $290K |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 17% | 4,430 | 3,721 | $68K |
| 99205 | Prolong outpt/office vis | 4.9% | 211 | 169 | $20K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 4.0% | 219 | 200 | $17K |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 1.5% | 421 | 150 | $6K |
| 64493 | <1% | 38 | 17 | $2K | |
| 15002 | <1% | 21 | 13 | $2K | |
| 99223 | Prolong inpt eval add15 m | <1% | 40 | 25 | $1K |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | <1% | 40 | 33 | $1K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 13 | 12 | $1K |
| 64495 | <1% | 35 | 14 | $659.90 | |
| 64494 | <1% | 41 | 18 | $651.20 |
10 more codes
| 99441 | <1% | 106 | $567.42 | |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 25 | $457.81 |
| 27096 | <1% | 20 | $427.44 | |
| 95816 | <1% | 34 | $247.76 | |
| G8428 | Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given | 0% | 33 | $0.00 |
| G8754 | Most recent diastolic blood pressure < 90 mmhg | 0% | 34 | $0.00 |
| G8427 | Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications | 0% | 100 | $0.00 |
| G8752 | Most recent systolic blood pressure < 140 mmhg | 0% | 16 | $0.00 |
| G8417 | Bmi is documented above normal parameters and a follow-up plan is documented | 0% | 41 | $0.00 |
| G9016 | Smoking cessation counseling, individual, in the absence of or in addition to any other evaluation and management service, per session (6-10 minutes) [demo project code only] | 0% | 16 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
Who's on the registration
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.